• Utilization Review Analyst - Registered…

    Beth Israel Lahey Health (Burlington, MA)
    …This position is on-site at Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers and inpatient case management team ... of medical care provided. . **Job Description:** The Utilization Analyst works with physicians, the payers and inpatient...care.. 5. Collaborates with case managers, nursing staff , coding team , the physicians and finance on relevant… more
    Beth Israel Lahey Health (10/30/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims ... auditing and clinical coding and reimbursement edits and necessary coding ...opportunity. **Other:** + Standard office equipment + None/stationary **Required Education (must have):** + Bachelor's Degree or Equivalent experience… more
    Commonwealth Care Alliance (08/26/25)
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